| Occupation as written | Housewife |
| Standardised occupation | DS00: Domestic service - Domestic duties |
| Application received | 2 Oct 1913 |
| Application status | Already a Subject |
| Official | A.H. |
| Date of approval or denial | 13 Oct 1913 |
| If rejected, why? | |
| Birthplace as written | Brest, France |
| Modern country | France |
| Age on application | 48 |
| Age on arrival in Australia | 1 |
| Port of Departure | Brest |
| Port of Arrival | Sydney |
| Date of arrival | 14 Apr 1866 |
| Name of ship | Samero |
| Voyage | Samero (1866-04-14) |
| Address in Australia | Park Avenue 'Mascott' Botany |
| Address State | New South Wales |
| Time at address |
| Married | Yes | |
| Children | Yes | 5: 4 married and one unmarried |
| Name of reference | Louis Alexander Pogonowski |
| Occupation of reference | Justice of the Peace (New South Wales) |
| Marginalia description | |
| Police report attached | No |
| Link to other applicant | |
| Literate | No |
| Reason | N/A |
| Other information |